Active NPI
Renalyn Reyes Pesquiza
- Physical Therapist
- Torrance, CA
National Provider Identifier
1871056341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42618
- Practice address
- 22003 S Vermont Ave Apt 3
Torrance, CA 90502-2122 - Phone
- (310) 328-0812
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42618 | CA | Primary |
Addresses
Primary practice location
22003 S Vermont Ave Apt 3
Torrance, CA 90502-2122
Mailing address
22003 S Vermont Ave Apt 3
Torrance, CA 90502-2122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42618 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1871056341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22003 S VERMONT AVE APT 3",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22003 S VERMONT AVE APT 3",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022122",
"telephone_number": "310-328-0812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESQUIZA",
"first_name": "RENALYN",
"middle_name": "REYES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.